An Audit of Uterovaginal Prolapse in Enugu, Southeast Nigeria

Abstract

The prevalence of uterovaginal prolapse was 3.4%. Thirty three (66%) of them were postmenopausal. Multiparity was a significant determinant as 74% of them were grandmultiparous. The commonest symptom was "something coming down the vagina" in 96% of the study subjects. Second degree prolapse was the commonest type of presentation (48%) and the definitive treatment modality was vaginal hysterectomy with pelvic floor repair (44%). Multiparity, prolonged labour and unsupervised deliveries are significant determinants. Uterovaginal prolapse is primarily a common gynaecological condition of the parous and elderly postmenopausal women associated with a decreased body image and quality of life. Education of women, women empowerment, effective antenatal care, supervised hospital deliveries, and limiting the family size by efficient contraception deserve priority attention to prevent this social malady.

Prevalence and antimicrobial susceptibility of asymptomatic bacteriuria among women with pelvic organ prolapse in Abakaliki, South-East Nigeria

“…These sociodemographic variables are similar to studies done in Lagos [2], Enugu [3], India [4], Ibadan [9], Nnewi [12]. This could be due to reduction in the production of female hormones especially estrogen during the perimenopausal and menopausal age range and the subsequent effect of these reduced hormones in the pelvic supporting structures [22] .Secondly, most women in this age range are multipara with its attendant effect on the ligaments and other pelvic supporting organs [2, 18, 21]. Majority of the women were grandmultiparous (that is 5 or more deliveries) with highest value being Para 6(18.8%).The mean Parity was 6.74 with standard deviation of 2.27 and the median parity was 6.…”

“…Pregnancy and bearing down in the second stage of labour further puts much more tension to these pelvic supporting structures thereby predisposing these women to developing pelvic organ prolapse [1]. Prolonged labour that is labour lasting more than 12 h and unsupervised deliveries are strong determinants [21]. Increased number of pregnancies will cause recurrent repetition of these events, thus, the higher the number of pregnancies, the higher the risk of developing pelvic organ prolapse [1, 8].…”

“…The culture plates were incubated at 37 °C for a duration of 24 h. Several biochemical tests were conducted for bacterial isolation and identification. Bacteria isolates made were subjected to antibiotic sensitivity analysis using the disc diffusion methods [20, 21]. The sensitive drugs were gentamycin, ciprofloxacin, ceftriaxone, ofloxacin, perfloxacin, cotrimoxazole, cefuroxime Tetracycline, Chloramphenicol, Cloxacillin, Streptomycin, Nalidixic acid, Augmentin, Erythromycin, Amoxicillin and Nitrofurantoin.…”